| NPI | 1164966966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA DENISE HOLTON Clinical Social Worker / President 252-987-3039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2022-10-26 |